title: A rare case of left ventricular outflow tract mass.
abstract: Thrombus formation in left ventricular outflow tract (LVOT) of a normal heart is a very rare occurrence. A 23-year-old male who presented with syncope, on evaluation found to have obstructing mass in the LVOT. His heart was otherwise normal. His investigations were not contributory except for significant eosinophilia. Due to recurrence of syncope he underwent emergency surgery for extraction of the mass, which on histopathological examination was found to be organizing thrombus. His eosinophil count normalized after the surgery. Tests for hypercoaguable states and investigations for known cause of eosinophilia were normal. There was no recurrence of thrombus or eosinophilia at 6 months after surgery. He was diagnosed to have obstructive LVOT thrombus in a normal heart secondary to transient eosinophilia. Presentation of this interesting case with literature on left ventricular thrombus and eosinophilia is discussed.
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.
authors.forename: Sunil Kumar
authors.initials: SK
authors.lastname: Srinivas
authors.forename: Kasamsetty
authors.initials: K
authors.lastname: Subramanyam
authors.forename: Rangaraj
authors.initials: R
authors.lastname: Ramalingam
authors.forename: Seetharama
authors.initials: S
authors.lastname: Bhat
authors.forename: Saligrama Ramegowda
authors.initials: SR
authors.lastname: Kalpana
authors.forename: Cholenahally Nanjappa
authors.initials: CN
authors.lastname: Manjunath
mesh_terms: D006801:Humans; D008297:Male; D035583:Rare Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D055815:Young Adult
keywords: echocardiogram; eosinophilia; left ventricular outflow tract; mass; thrombus